- Cedars-Sinai (CA)
- …of Epic report development experience. Physician Billing, Epic Tapestry, AP Claims , and Population Health experience highly desired. **Educational/Certificate ... excellence was acknowledged again, this time by the esteemed " **CHIME Digital Health Most Wired** " recognition program. Cedars-Sinai was assigned a Level 10-the… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new locations, general provider data… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and place stop loss policies, negotiating terms based upon claims data, strategy, relationships, and cost avoidance/reduction efforts. +… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required… more
- LA Care Health Plan (Los Angeles, CA)
- …(Min.) - $121,286.00 (Mid.) - $151,034.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...Core Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer,… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- UCLA Health (Los Angeles, CA)
- Description The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... This is a non-clinical role focused on care coordination, oversight of home health services, and administrative support to ensure compliance with CMS guidelines and… more
- University of Southern California (Los Angeles, CA)
- …lead programmer or technical specialist on research projects. + Experience with health data, including large administrative healthcare claims data from Medicare ... existing programs under one umbrella-the Leonard D. Schaeffer Center for Health Policy & Economics (https://healthpolicy.usc.edu/) and the Leonard D. Schaeffer… more
- BrightSpring Health Services (Union City, CA)
- …Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication ... management. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and… more